Hair Loss and Treatment

Dr.Rita

I know Dr. Feroz and I am very happy to hear about his New Clinic in Hyderabad. The People of Hyderabad are blessed by a very artistic Doctor. God Bless

Dr. Salahuddin From Chicago

It seems you like Hyderabad more than Chicago. Congrats for your New Clinic, Hope to see you soon

Causes of Hair Loss in Men

Hair loss in men is a common sight around the world. Many people do not understand that male hair loss is a medical disorder known as androgenetic alopecia. It affects up to 60% of the male population in almost every ethnicity; it is also referred to as male patterned baldness (MPB). Advancements in medical science and tremendous advancements in medical technology now make addressing MPB viable for many men through hair restoration.

The Aging Process
Male pattern baldness is by far the most common cause of hair loss in men, affecting 60% of men by age 50. Male pattern baldness typically affects the frontal hairline, temporal recessions and crown. Pattern hair loss affects 1 in 5 women. In women, hair loss is usually related to hormones and typically demonstrates a more diffuse pattern.

Hair loss is primarily caused by a combination of aging, a change in hormones, and a family history of baldness. Baldness is often blamed on poor circulation to the scalp, vitamin deficiencies, dandruff, and even excessive hat-wearing.

All of these theories have been disproved.

The premiere hair restoration by Dr.Feroz Khan’s Darling Roots that is natural, proven and permanent is through FUE hair transplant surgery. Hair transplant are now one of the most common cosmetic procedures elected by men today.

Causes of Baldness in Men

Hormonal and genetic factors both play a role, but the exact root mechanism for baldness in men is still being researched by medical science.

Dihydrotestosterone (DHT) a powerful sex hormone is known to be the trigger for male pattern baldness. It has been noted that men with MPB have elevated levels of the enzyme 5-alpha-reductase. The act of genes, hormones, stress in life, medications and time makes prone hair shorter and finer over time and before it eventually dies out. The progress of this miniaturization causes disappearance of certain hair shafts and shrinkage of the others. In this process the scalp hair becomes very fine and short, which is also known as miniaturized hair.

Hair loss can begin as early as the end of puberty. The Hamilton-Norwood scale is used for the classification of male pattern baldness and is based on the progress and severity of hair loss. Currently, several treatment options are available. Besides hair transplantation, there are two medications that have been FDA approved for use in the United States. Patients who benefit the most from effects of medications on slowing the baldness process are still in the initial stages of baldness.

Treatment of Male Pattern Baldness (MPB)

Medical treatment for baldness in men has always been a challenge. Patients’ experience varied results with the available approved medications. Minoxidil it one of two approved medications it comes in topical form of Minoxidil; it is the first FDA approved medication to market. Minoxidil is available in 2%, 5%, 10% and now even 12.5% solutions. Minoxidil needs to be applied to the balding areas of the scalp and its effectiveness is usually not noticeable for several months after initiation of treatment. Positive results of the medication are not permanent and in most cases a patient will resume hair loss after discontinuation of medication. Hair transplant surgeons may recommend use of Minoxidil treatment along with hair transplantation as part of your hair restoration.

The only available oral medication for male pattern baldness is finasteride (Propecia). It is available for hair loss treatment in one milligram pills and one pill should be taken every day. Withdrawal usually leads to reversal of hair loss within 12 months.

Hair Loss Causes in Women

The rate of hair growth is about 1/2 inch per month. The life of each hair includes cycles of growth (Anagen phase) and rest (Telogen phase) which for scalp hair takes around 2 to 6 years ending with hair fall out. After the falling of hair a new hair grows in its place. In a normal person, 85 percent of hair is growing at any given time and the other 15 percent is resting.

Baldness is a condition in which new hair does not grow when old hair falls or the new hair is miniaturized. The cause of this condition in female pattern baldness is not entirely understood, but it seems to be associated with genetic, hormonal changes, aging and deficiencies. Hormonal changes are commonly seen in the menopausal period when scalp hair is thinned, while facial hair grows coarser.

Female Pattern Baldness (FPB)

Female pattern baldness is a specific pattern of hair loss observed in some women. FPB is often caused by hormones, aging etc.

Pattern and Grading of Female Hair Loss

The typical pattern in female pattern baldness is generally different from that of male pattern baldness). In female pattern baldness, the hair thins out more but the front hairline maintains its look in most cases (unlike male pattern baldness with frontal recession). Female pattern baldness can occasionally appear similar to male pattern baldness, but it rarely progresses to full or even near total baldness as it may in men.

Some typical patterns of hair loss in women are:

Diffuse pattern of hair thinning over entire scalp, often with more noticeable thinning toward the back.

Diffuse thinning with more noticeable thinning in front, but with no involvement of the frontal hairline. Patients in this group have the best result from hair transplant if they have an intact donor hair.

Diffuse thinning with more noticeable thinning toward the front of the scalp with involvement and sometime breaching the frontal hairline.

Diffused Unpatterned Alopecia (DUPA) in which hair becomes thin diffusely without following any specific pattern. These patients are generally not good candidates for hair transplant.

Other Causes of Hair Loss in Women

Other than genetic and hormonal causes of hair loss in women, female hair loss can be accelerated by other factors such as:

Telogen effluvium- temporary shedding of hair at more than the usual rate. This is a common cause of hair loss for men and women. Accelerated hair loss after delivery of a baby is not uncommon.

The Psychological Effect of Hair Loss in Women

Hair loss doesn’t discriminate between men and women. While much has been written about the psychological effect of hair loss on the male psyche, not as much time has been devoted to exploring the emotional impact of hair loss on women.

A headful of hair is an important visual statement to a woman. It’s a vital part of “their look” as a healthy head of hair helps them to feel beautiful and attractive to others. Having a full head of hair is also important to their self-esteem. When a woman begins to experience hair loss, it can be a big blow to her self-worth.

Why Is It Harder For Women To Accept Hair Loss?

Male hair loss usually follows a general pattern and is viewed by society as a natural part of life for men. Hair loss in women is often diffuse (all over the head). The thinning of hair, as well any subsequent hair loss, might not be noticed until there is a significant amount of hair falling from the head.

Even a modest amount of thinning hair, and hair loss, can have a significant psychological impact on women. The hair loss, combined with wrinkles and other signs of aging, can cause a loss of self-esteem as well as depression.

What Can Be Done To Help Combat Female Hair Loss?

In a society that views baldness as a sign of old age and a lack of desirability to others, the loss of hair for women is particularly devastating on a psychological level. The feeling of not looking their best and the world viewing them differently is tough on the self-image of women.

Our staff at Dr.Feroz Khan’s Darling Roots Clinic, is here to guide you through the process of hair restoration We look forward to meeting you soon.

Prior to treating hair loss, all common treatable causes have to be excluded. A simple lab test can exclude many of these disorders. Rogaine (topical Minoxidil 2%) is often the first step in medical treatment of these patients. Rogaine is the only FDA approved medication that is currently available for medical treatment for female hair loss. The other FDA approved hair loss treatment in males, Propecia, does not show any positive results in women.

Hair transplant surgery gives great results; however, many women with female pattern baldness are not good candidates for hair transplant because the donor hair area is also involved with the process of the baldness and hair miniaturization.

Other Types of Hair Loss.

Alopecia Areata

Alopecia areata is an auto-immune disease that affects hair follicles anywhere in the body, appearing as a rounded patchy area of hair loss. Alopecia areata affect both men and women and could be seen almost anywhere on the skin.

Anagen Effluvium

Sudden hair loss due to the effect of chemicals or radiations such as hair loss following chemotherapy, radiation therapy or toxins is typical conditions called anagen effluvium. This condition is different from Telogen effluvium, in which hair enters the resting phase. In this condition, hair loss begins 1-3 weeks following exposure to the inducing factor. Some types of anagen effluvium such as hair loss after chemotherapy could be temporary and hair growth is back to normal once treatment is finished. The texture of hair could be somehow different after re-growth in some cases.

Trichotillomania

Trichotillomania is a self induced hair loss in which patient continuous pulling hairs cause hair loss in some areas. Emotional and psychological disorders such as anxiety are usually involved. It occurs most commonly among children and adolescents. Women are affected twice as men. It could also occur on the eyebrow, beard and body hair.

Traction Alopecia

Traction Alopecia is caused by continues pulling on the hair causing local hair loss in the affected area. Many factors could be responsible such as various hair styling, ponytails and tight braiding. The process of hair loss is gradual, but if it continues, hair loss could be permanent. Permanent types of traction alopecia could be easily treated with hair transplantation.

Telogen Effluvium

Sudden and usually stress related hair loss, which presents itself as general thinning throughout the scalp. Telogen Effluvium occurs after any sever and sudden stress. In Telogen effluvium a large number of hair follicles go to sleep phase at once causing hair loss or thinning all over or in a large area of scalp. In most cases the hair loss recovers spontaneously and completely. Telogen effluvium can be seen in patients who are prone to male or female patterned baldness and stress cause accelerate hair loss that may be not reversible due to underlying conditions. The most common form of telogen effluvium is seen after childbirth or pregnancy termination for other reasons in women.

Shock Loss after Surgery

The stress and physical changes following major surgeries or procedures of head and scalp area can cause sudden hair loss in involved areas called shock loss. Hair transplant used to be one of the major causes of shock loss, but using the medication Propecia has reduced the rate of hair loss after hair transplant surgeries significantly.

Medications Induced Hair Loss

Many medications have hair loss as one of their side effects, but here is a list of the most important ones:

· Chemotherapy mediations

· Alloppurinol

· Heparin

· Coumarin

· Clofibrate

· Gemfibrozil

Scarring Alopecia

Scarring alopecia could be as result of gross scars such as surgical incisions or traumatic injuries or could happen at cellular level by inflammatory reactions such as skin infections destroying hair follicles “cicatricial alopecia” in which patient lose hair in part or all of his head or body due to destruction of hair follicles at cellular level. Cicatricial alopecia generally happens following a skin infection or inflammatory process.
Scarring alopecia as result of surgical incisions or trauma could be easily treated with hair transplantation or sometimes with simple excision of the scar.

Infections and Hair Loss.

Infection used to be one of the most common causes of hair loss in children in the past, is seen very rarely now thanks to the effective antibiotic and antifungal treatments that can cure scalp infectious diseases.

A positive self image is important for a person’s self esteem and confidence. Studies on the psychology of hair loss demonstrate its detrimental effect on people with this medical condition. Early detection of men and women hair loss can make an important difference in enhancing a person’s lifestyle through hair restoration.

At Dr.Feroz Khan’s Darling Roots Clinic of Hair Restoration we provide that difference through affordable hair transplants with the most advanced surgical / medical procedures and techniques. As a leader in hair transplants we provide each patient with a thorough medical consult and microscopic scalp evaluation. We are dedicated to providing male and female hair loss treatment that enhances our patients self image.

Hair Loss Evaluation

Providing hair transplant surgery costs that are affordable underscores the need for a thorough evaluation including scalp and hair microscopic assessment by Dr.Feroz Khan at his Darling Roots Clinic. This assessment is commonly known as the miniaturization study and should only be performed by a doctor. It is a necessary component in evaluating every hair transplant candidate. Obtaining personal family history of baldness is critical in making the proper diagnosis. A detailed history should be taken that includes the time, speed and quality of hair loss and its association with other medical, physical and emotional factors.

Benefits of Hair Replacement Surgery

Transplanted hair is permanent

Restores a natural, more youthful and vigorous look, with potentially positive psychological effects, such as a boost in confidence.

Less expensive than other hair-loss treatments, when factored over time.

Complementary Procedures
Medical treatment options for hair loss are available. Call for a consultation with Dr.Feroz Khan to learn more about which options may be recommend in your case.

Recovery after Hair Transplants
Following hair replacement, you can expect a few days of swelling and soreness which is well controlled with oral pain medications. Swelling generally subsides by 5 days. You can resume most normal activities after a few days, except for intense exercise, which may be resumed at about 3 weeks. Most people are able to return to work within days, but may choose to return in a week. The donor site scar is concealed by the hair. Recipient sites are usually not noticeable after about a week.

The natural, proven and permanent solution to hair loss begins with a thorough consultation from a skilled hair restoration Surgeon/Physician. At our Darling Roots Clinic a complete evaluation of your scalp is conducted; as well as a thorough microscopic hair assessment. This hair assessment is more commonly known as the miniaturization study, a critically important part of the proper diagnosis for every hair loss patient.

Obtaining personal family history of baldness is critical in making the proper diagnosis. This is includes information from both the maternal and paternal heritage of the patient. Your detailed history includes the time, speed and quality of hair loss. Consideration is given to any possible associative medical, physical or emotional factors.

There are increased levels of evaluation when we diagnose hair loss in woman. The medical history can play a major factor in determining the best course of medical treatment for female hair loss. A female patient’s medical history may help us discover a treatable disorder that leads to the accelerated hair loss in women known as female pattern baldness (FPB.)

Common disorders can cause hair loss.

Iron deficiency, thyroid disorders, autoimmune diseases such as lupus and hormonal imbalances, such as increased male hormone or altered estrogen or progesterone levels can effect hair loss. There are some medications could cause hair loss in both men and women in which case a more detailed history of medication use would be obtained.

Medical Hair Restoration

Medical Hair Restoration is usually a preventative method to slow down or stop further hair loss. It could be used with or without hair transplant surgery. When you talk to friends and family about hair loss treatments, you will find a lot of do-it-yourself hair loss methods or products such as creams, ointments, lotions, nutrition supplements, scalp products and other herbal, all promising to stop hair loss and re-grow hair.

Among all the options for nonsurgical treatment of hair loss for men and women (pattern baldness), you will find only two that have been approved by the U.S. Food and Drug Administration, and are recommended by physician hair restoration specialists. Hair loss products not approved by the FDA are often a waste of money and can even be harmful to your hair and scalp.

The two meds that have been FDA approved are finasteride (Propecia) and minoxidil (Rogaine). The other products that are considered effective as hair loss treatment may have one or both of these medications or similar chemicals as ingredients.

Other options that can be medically recommendable are a variety of techniques such as laser treatment with (LLLT) low level laser therapy or hair and scalp products. For many of the products we simply do not have enough evidence based information. You need to talk to your doctor about all options before committing to try them Darling Roots Hair restoration combines medical treatment of hair loss with surgical options or FUE Hair Transplantation to create a master plan for obtaining the Hair density with best final results.

Hair Transplant Results

The appearance of your hair after hair transplant surgery is the single most important factor. These characteristics include: thicker hair vs. thinner one, wavy vs. straight and minimum contrast of hair with the skin. Less contrast means less visibility of the scalp and less appearance of baldness.

Who Makes a Good Candidate for FUE Transplant

Who makes a good candidate for FUE? Are the cost is higher than with other techniques you use?

A: In Dr.Feroz Khan’s opinion whoever having a good DONOR area at the back of SCALP is a GOOD candidate..

The ideal candidate for an FUE would be someone who falls under the category of a class III on the Norwood scale. A class III patient is one who has not experienced miniaturization on a large area of scalp and has no prior family history of advanced balding. In addition, a FUE patient may require at least two procedures in order to restore their hair, as opposed to just one.

NOTE: For the same reason Dr.Feroz Khan at his Darling Roots Clinic gives priority to aMEGA FUE SESSION!!! ONE DAY!!! 16 to 18 hours, which FILLS ALL!!! During the lengthy procedure patient enjoys MUSIC of His or HER choice and frequent breaks for Coffee / Tea / Soft drinks / Lunch / Dinner etc,

Candidates for Hair Transplant Surgery
You may be a candidate for hair replacement surgery if you are concerned about the appearance of hairline recession or the development of balding or thinning of the hair.
Hair replacement candidates must have healthy hair growth at the back and sides of the head to serve as donor areas. Donor areas are the places on the head from which follicular grafts are taken. Other factors, such as hair color, texture and waviness or curliness may also affect the cosmetic result.

Hair Transplant

Hair transplant is the natural, proven and permanent treatment for baldness in men. Formerly, surgical treatments such as plug grafts, scalp flaps and scalp reductions were used with less than desirable results for patients The advancement and discovery of Follicular Unit Extraction (FUE) revolutionized hair restoration treatment of hair loss for both men and women.

, and other genetic factors. This condition is also called female pattern alopecia and female baldness.

Exclusive FUE @ Darling Roots Clinic.

The problem with follicular hair transplant is that it can only be performed when both surgeon and surgical assistants have proper training and skills. Even with skilled personnel, FUE hair transplants are laborious, and time consuming. Results of hair transplant surgery have greatly improved after the introduction of the stereoscopic microscope and its use in harvesting hair grafts. Studies showed that the increased magnification can greatly improve the quality of the grafts and maximize the yield of intact healthy follicles.

Magnified follicles on scalp. Natural grouping of hair.

Another added benefit is that due to the small size of the hair grafts in this transplant there is little to no scarring of the tissue.

Follicular transplant surgery can also provide a more luxurious head of hair due to minimizing damage to the hair follicles. Hair grafts in this technique by using the desired punch size and can be placed very close to each other producing adequate density with more even distribution.by using proper tools of implantation.

A natural looking hairline is another advantage of FUE Hair transplant surgery. Creating a natural looking hairline by selecting the follicles which has more hair using FUE transplant

A regular FUE hair transplant surgery usually takes about 4 to 8 hours depending on the number of grafts and extent of balding area that needs coverage. But at Dr.Feroz Khan’s Darling Roots we specialize in unlimited follicular extraction and implantation by using IMPLANTING PENS and the FUE session could be upto 18 hours. Dr.Feroz Khan and his team has lot of patience in serving the clients as they are VERY MUCH RESULT ORIENTED.

Dr.Feroz Khan’s Darling Roots FUE Hair Transplant

FUE Hair transplant has become the new standard in hair restoration over the last few years in the field of hair transplantation. Hair Transplantation by Follicular Unit Extraction (FUE) uses hair graft follicles for hair transplants each follicle consists of one to four hair terminal.

Thel hair follicles consists of sebaceous (oil) glands, a small muscle, tiny nerves and small blood vessels. Every follicle is covered by the surrounding sheath that is mainly made of a protein (collagen)

A follicle is not only an anatomic but a physiologic one. Preserving other important structures in a follicle helps that each hair functions normally and looks natural. This is the basis for modern hair transplant, in which the natural and undetectable results is expected with every hair transplant surgery.

Follicular Unit Extraction – FUE

Follicular Unit Extraction (FUE) is the method of obtaining hair grafts directly and individually from the patient donor area. This process of collecting hair units was first introduced by Dr. Woods in Australia. It was further standardized by other hair transplant doctors such as Dr. Rassman and Dr. Bernstein in 2002, and in the following decade by Dr.Feroz Khan at his Darling Roots FUE Clinic, in Banjara Hills, Hyderabad, India.

FOX TEST

Using different FUE techniques, we perform a few biopsies under local anesthesia and try to extract few follicular units with special biopsy devices. We examin the harvested grafts microscopically to make sure they are intact before proceding with a larger FUE or FIT session. The text is positive if we can remove intact follicular units without transecting them.

FUE Transplant with SAFE System

At Dr.Feroz Khan’s Darling Roots Hair Restoration, we continuously thrive to improve our techniques of hair restoration and provide better results for our patients. We perform experiments on different motorized and manual techniques of Follicular Unit Extraction (FUE) in our Darling Roots hair transplant center. The result of

our study is in favor of SAFE system in comparison to other commercially available techniques for FUE procedure. Since then we have been using SAFE System in most our FUE surgeries.

Powered SAFE System for FUE is a relatively new device for minimally invasive FUE procedures. SAFE system has been proven to have lesser transaction rate (cutting intact hair follicles below the skin level) so a higher yield of hair follicles could be expected from FUE transplants with SAFE method. SAFE hair restoration system uses a blunt rather than sharp punch, which is used in most other FUE devices. Not having a sharp punch is an important factor that minimizes the damage to the hair follicles. Thus more intact follicular units are expected to be harvested in every hair transplant

Follicular Unit Extraction (FUE) is also called Follicular Isolation Technique (FIT). The advantage of FUE is that patients will not have a linear scar on the back of their head, minimal pain and blood loss and recover the next day.

In FUE or FIT, we do not remove the strip of skin from the donor area. Patients will not have donor complications seen with the strip technique such as discomfort in donor area after surgery, the need for staple or suture removal and presence of linear scar.

FUE is the procedure of choice for people who want style their hair short to medium in their back. It is also first choice for those who have previous healing problems with any scalp procedure.

FUE – Left: Receipent area immediately after surgery, Center: Donor area immediately after surgery with 3000 grafts, Right 2 weeks after surgery,Donor area seven days after a FUE hair transplant surgery. There is no obvious sign of hair transplant surgery and scars are not detectable.

Follicular Hair Transplant: The natural results

Follicular hair transplant is becoming the standard hair transplant procedure because of its natural look and functionality. One reason for its natural look is due to the fact that the surgeon has more control on the direction of the follicular grafts. Hair transplant surgeon can place follicular units in the exact natural direction and distribution.

In comparison, old techniques of micro-graft, mini-graft or plugs leaves surgeons very little to no control on the distribution and direction of each follicular unit and the way the hair units are located in the donor area dictates their final direction after hair transplant.

Hair follicles are transplanted to recipient sites in the same manner that hairs grow naturally. In other words, the natural grouping of hairs into follicular units is preserved. Individual follicular units are transplanted separately to restore the hairline or density to areas of concern. This technique produces a high rate of success and natural, undetectable results.

The procedure usually involves local anesthesia with sedation. The duration of the procedures ranges from a couple to several hours and depends upon the number of grafts transplanted.

Results
After approximately six weeks, the transplanted hair will fall out and be replaced about three months later when the new hair grows in. Results are entirely apparent by 9-12 months. To achieve sufficient density, several sessions may be required. Transplantation is a progressive process requiring hundreds of micro-grafts, each of which will generally contain from one to three hairs grafted from a donor site located on back of the head.

Some or all implanted hair will fall out and the hair follicles go to resting (telogen) phase. However, the implanted follicles will begin growing normal hair in 3 to 4 months..

Three Months after Hair Transplant Surgery

Gradual growth of hair follicles is seen at this phase. The follicles will be all out growing by six months after a hair transplant surgery. However, it may take over twelve months until you can see them in their best shape and size.

Eight Months after Hair Transplant Surgery

All transplanted hairs are grown by this time. Hair shafts may not be to their final length and pigmentation yet. Patients may need 8 to 12 months from the time of their surgery to be able to see the final result based upon the quality of transplanted hair and the style of their hair.

Eyebrow Transplant

Eyebrow hair transplant is a safe procedure and can create natural results for people who lost hair in the eyebrow or have scar in their eyebrows.

This transplant is an effective treatment for both partial and full loss of eyebrow hair

.

Causes of eyebrow hair loss

Main causes for eyebrow hair loss in men and women are:

Congenital inability of growing eyebrow hair.This condition is seen in many members of a family and is easily treated by eyebrow hair transplantation.

Physical trauma such as burn, accidental injuries.or over-plucking or reshaping of eyebrows. Hair transplant can effectively restore partial or total eyebrow hair loss in these conditions.

Medical disorders such as thyroid diseases.Hair transplant need to be considered when the underlying medical condition is under control.

Autoimmune disorders such as alopecia areata or lupus.

Psychological obsessive compulsive disorders causing self-inflicted obsessive plucking of eyebrows and eyelashes. In this condition that falls under category of trichotillomania, hair transplant cannot be used unless the psychological condition is completely treated and is under control.

Eyebrow transplant procedure.

Eyebrow transplant is done through harvesting scalp hair from the back of the scalp, known as the donor area. The removed skin is dissected with microscopic magnification to follicular units. Hair can be harvested with conventional strip techniques or FUE. Dr.Feroz Khan’s Darling Roots Hair Restoration offers both techniques for harvesting donor hair for eyebrow hair transplant.

The area is prepared and very small incisions are made in the eyebrow area. Tiny incisions produce a tight grip for the single hair grafts that are already harvested. In order to create the best natural results, making the normal looking direction and distribution is very important.

The growth of transplanted hair in eyebrow follows the pattern of scalp hair growth. Transplanted eyebrow hairs are permanent and grow constantly needing to be trimmed more often than normal eyebrow hair. Patients may need 60 to 200 follicular hair grafts for each eyebrow. The number of hair grafts may vary based on patient’s sex and ethnic background and eventually individual facial features.

The procedure is performed using local anesthesia. Complications after this procedure are minimal. Redness, swelling and scabbing can be seen during the first few days after eyebrow surgery, but usually go away in 3 to 5 days. Daily washings will minimize scabbing and facilitate healing of implanted hair grafts. Newly transplanted hair to the eyebrow area usually falls out in the first 2 weeks, but new hair grow from those follicles in about 3 to 4 months. Full results are expected in about 6 months.

Body Hair Transplant

Some patients have limited or depleted donor hair available in these instances body hair may be a suitable source of donor hair.

Body hair can be harvested and utilized for scalp hair transplantation in people with hair loss who have both good course body hairs whose scalp donor area is severely depleted. Individuals who have good quality hair in their permanent zone of DONOR area (back and sides of their head) should not have body hair transplanted. Utilizing body hair is an alternative form of donor hair for special cases. Since body hair has a short growth cycle in comparison to scalp hair, it is less desirable than scalp hair for transplantation; therefore only utilized in exceptional circumstance.

Growth Cycle Comparison

During the normal hair growth, cycle a hair grows 1 to 6 years. After this the hair then transitions into its resting phase for 4 to 6 weeks; the end of phase is noted by the shedding of the hair before the start of another growth cycle and growth of another hair.

The growth cycle of body hair consists of much shorter growth phase and a longer resting phase. In other words, many body hair follicles that you transplant stay in resting phase most of their lives and only a fraction of them grow and could be seen at any given period of time hence the body being less hairy than the scalp. When transplanting body hair follicles the client must be aware of this factor and understand that the results will be affected by this factor.

However, body hair transplants are OK to use for people who have no alternative i.e. bad donor hair density, unfavorable hair quality tight donor areas with significant scarring that makes hair difficult to obtain for transplantation.

Dr.Feroz Khan’s Darling Roots Hair Restoration offers body hair transplants to some patients after thorough evaluations of their donor and recipient areas for determining their candidacy for this procedure.

Hair Transplant Repair

Here at Dr.Feroz Khan’s Darling Roots Hair Restoration CLINIC we practice modern procedures which produce undetectable and natural results. Older techniques of hair transplants which causes unnatural results can now have a repair procedure to revise the abnormal appearance to a perfectly natural and refined one.

Our goal is to create the most natural appearance for your hair. Abnormalities can be easily repaired using the following hair transplantation techniques.

1. Camouflage and repair the spotted balding areas.
Old plugs or large mini- and micro-grafts could be easily hidden by removing them and producing a natural hair appearance using follicular unit grafts. This method in selected patients can usually eliminate the pluggy look of hair in one session. The removed hair follicles are used to make follicular units that can be recycled and transplanted. To create a natural appearance of hair with refined follicular grafts, hair transplant surgeon often needs more hair follicles that are collected from the back of the scalp.

2. Repair of unnatural hair direction.
Unnatural hair direction particularly in frontal and hairline areas can be very disturbing for patients and causes great difficulties with hairstyling. Using single hair follicular units enable hair transplant surgeons to control the direction and distribution of the hair. This is not the case in patients with old technique surgery using large grafts. The direction of hair in these patients can be corrected by removing individual hair follicles with unnatural direction and replacing them with follicular unit grafts in natural direction and orientation.

3. Repair of abnormal hairline.
Abnormal hairline is either due to pluggy appearance of the hairline or designing problems. Normal hairline is generally irregular with a transitional appearance in front and a densely packed area behind it. Orientation of normal hairline is so irregular that one should never be able to connect the dots to make a straight line. Transitional irregular hairline could be easily created by implanting refined follicular unit grafts giving a natural and undetectable result.

4. Repair of scalp scars from scalp reduction, cranial surgeries and open donor.
Scar of any scalp procedures such as trauma or neurosurgical procedures can be easily filled with transplanting follicular units into the scars. Patients may need more than one procedure in order to increase the hair density in the scar area and to minimize the sharp contrast between the scar and the hairy area of the scalp around the scar.

Many patients who have had a bad experience with old hair transplant surgeries are unaware of modern hair transplant advantages and are reluctant to seek help because of their previous experience. However, those who are well informed on updated repair procedures can enjoy a normal and quite natural hair and hairline.

After Hair Transplant

First Few Days after Hair Transplant

Washing Hair after Hair Transplant

The first 4 days after a hair transplant are the most critical as hair transplant patients need to be extra careful about washing their hair, especially in the transplanted areas. Instructions will be given on how to properly wash, with critical care of the transplanted areas and should be followed stricyly as instructed by Dr.Feroz Khan or his Darling Roots staff. After 7 days most people can return to a normal hair washing routine.

Returning to Work after Hair Transplant

You can return to work as early as the day after your hair restoration procedure, but if your job requires any kind of lifting, bending, stretching, physical strain or touching chemicals, patients can take a few days off until the acute phase is over. Some patients may want to take days off only because they want to keep their hair transplant procedure confidential. In cases like this patients can take 1 to 2 weeks off from work. The most critical time for patients after the hair transplant procedure are the first four days, as they must be extra careful to avoid any type of strain, after four days the transplanted grafts are usually well settled.

Physical Activities after Hair Transplant

There are no limitations for mild exercises as long as the patient does not bend his/her head aggressively or touch the transplanted area. Contact sports should be avoided for the first month in most patients who had a transplant surgery.

Possible Complications

Pain and Discomfort: There may be some aching in the donor area, which starts within the first few hours after hair transplantation. Pain medicine is generally provided to alleviate the discomfort during the first night. After the first night, pain should be well controlled. Most patients do not need any medications for pain after the first night, but if there is any remaining pain during the second day, mild pain medications such as Tylenol, in most cases, should be enough to make you feel more comfortable.

Swelling: It is common for the first four days after a hair restoration procedure for swelling to occur around the transplanted area. Swelling is due to the process of healing and may range from non-existent to severe in which the subcutaneous fluid descends from the forehead area to around the eyes. The maximum swelling is generally seen in days 3 and 4 after hair transplantation. Patients may need steroids to prevent swelling after their hair restoration. It is good to sleep in a semi-sitting position and keep the upper body elevated to help minimize the swelling, or shorten its duration.

Bruising: Bruising or discoloration of skin around the transplanted area might be present for the first few days after the hair restoration procedure. This may involve the recipient area, and at times, may extend to the forehead.

Scabbing: Scabs should flake off within one week if the patient properly washes the transplanted areas. We recommend washing transplanted areas, the way we show it, twice a day for the first 4days. Patients can go back to their routine hair wash after that time unless they continue to have scabbing. Those who have scabbing will need to continue washing their head twice a day, until the scabbing goes away.

Itching: Itching is a common symptom after any type of wound healing. Hair transplantation is not an exception to that reality. Patients may feel itching on transplanted and donor areas for the first few days. This may extend to the second week after hair transplant, but should be mild and does not require any treatment for most patients. If itching is significant, a prescription of a mild steroid cream might help.

2 Weeks after FUE Hair Transplant

Physical Activity

It’s okay to resume exercise 7 days after hair transplant. It is critical to be selective about the types of exercises, which can be done (such as not doing squats, bend, lifts, etc.) for the first seven days after surgery. Always aim to keep your head elevated/upright. Bending the head may increase the tension of both the donor and the recipient area which may increase the chance of stretching the grafted area.

There are no possible Complications except Inflammatory redness.

Redness and Inflammation: The inflammation and redness should be subsided at this time, but a mild pinkish discoloration of the transplanted area may remain. This can be visible for a few weeks comparable to a sun burn, especially in patients with lighter skin.

4 Weeks after Hair Transplant

Hair Growth

Transplanted hair grafts should have set in their new location on the scalp and the hairs attached should have fallen out. After being replanted, the stubby hair falls out and the new strands of hair begin to grow after a couple of months.

Physical Activity

Patients should be able to resume most physical activities they used to do before hair transplantation. The key is avoiding strain on the scar area if a strip, or FUT, hair transplant was performed. If an FUE procedure was performed, then more intense exercises are permitted.

3 Months After Hair Transplant

Appearance

Patient’s appearance all Outlook 360 should be the same as before having the hair transplantation done.. Patients generally do not keep the newly transplanted hair, and commonly lose the shaft of hairs while the follicles become part of the scalp and generate new hairs.

New Growth

Patients who have complete baldness (no visible hair before hair transplant), should be able to see some very small hair in the transplanted area. Folliculitis or pimple shaped lesions may be noted in some patients at this time. They generally form because of the collection of sebum (oily secretions of the hair follicles). Folliculitis lesions usually drain spontaneously without any need for any interventions. If folliculitis lesions are more than two or they are painful, you need to see your surgeon to have those lesions drained for you. Drainage of folliculitis is generally simple and painless. The stuff from the lesion will be squeezed out by making a small prick using a small sterile needle.

Possible Complication

Shock Loss: This may occur for some patients after their hair transplantation. Patients may lose some of their native hair due to shock loss after their hair transplant. This happens while they still do not see the bulk of the transplanted hair grown in yet. Some patients may feel the bulk of their hair is lessening more than what it was before the hair transplant. This does happen at times until the next few months after hair transplant when the patients can see the newly transplanted hair along with regrowth from some of the hair that has gone through shock loss.

6 Months After Hair Transplant

Hair Growth

For three-months appointments are recommended monthly or as decided by Dr.Feroz Khan to all patients after a hair transplant in order to be seen for an early evaluation of their growth. This is a very exciting time for patients, as they may begin to see first signs of growth for the transplanted hair. Although, some patients will begin to see their full results at six months, most patients will continue to see further improvement after month 6.

Postoperative six-month visit is important for some patients because it may determine if they need to consider another hair transplant. Patients who wish to achieve very high density of hair along their hairline or other areas may need a second procedure in order to double up the density of hair to those areas. We generally cannot implant more hair until SIX months past a previously transplanted area for three reasons:

We do not have a solid understanding of the final growth before this time.

Some of the transplanted hair has not grown before the six-month mark so there is a risk that we may transplant grafts on top of previously transplanted area.

The donor scar is not quite mature and the laxity of the scalp might not be completely back to the normal.

1 Year After Hair Transplant

Hair Growth

The results from the hair restoration procedure should be obvious and noticeable. At this time the new hair will have grown to its normal thickness. Although most patients may see most of their results at this time, more improvement in fullness and thickness should be expected up until 18 months from the hair transplant.

After The First Year of Hair Transplant

Hair Growth

More fullness should be expected at this point through 18 months from the hair transplant. This case is especially true for the patients who grow their hair long. Many patients at this time can see their final result and determine whether a second hair restoration procedure is necessary or not.

It is crucial to stay in touch with your hair transplant surgeon during the entire time after your hair transplantation, if you have any concerns or questions. We at Dr.Feroz Khan’s Darling Roots Hair Restoration Clinic want to see our patients after their hair transplantation for 2 standard follow up visits.

Follow up Visits

The follow up visits are:

Day 3: Immediate postoperative bandage removal and evaluation of recipient and donor areas. And giving patient instructions to be followed.

After 1 month: Reviewing further care they need in the next few months

Month 4: Evaluation of early growth.

Month 12: full result.

We at Darling Roots Clinic, encourage our patients to contact us for any concerns at any time between their routine follow ups or after their final 12 months follow up. One of the keys to the success of a hair transplant procedure is close communication with the patients and the hair restoration staff during the post operational period.

Scalp Micro Pigmentation (SMP)

Scalp Micro Pigmentation (SMP) is one of the newer cosmetic procedure that is offered in Dr.Feroz Khan’s Darling Roots / Cosmetic Outlook Clinic. SMP utilizes dermal pigments that match the patient’s hair color. These pigments are introduced into the scalp improving the appearance of the balding areas. It may also be used for a variety of other purposes. A SMP procedure can be done with or without local anesthesia. This depends on the location and size of the area that needs micro pigmentation.

When performing a Scalp Micro Pigmentation procedure we utilize very fine needles to induce the pigments into the superficial layers of the skin and below the epidermis. The most common indication of COSMETIC micro pigmentation is to create the shade of hair similar to what could be seen in a shaved Many men shave their head to hide their male patterned baldness. However, the lack of the shadow from shaved hair shafts makes balding apparent on sight. Utilizing SMP, we can re-create the shade of hair in the balding areas. This provides the patient with a military type look instead of the appearance of male pattern baldness.

Before After

SMP Indications:

Improving the appearance of male patterned baldness in men who want to shave their head

Enhancing the appearance of the thickness of hair after hair transplant when there is a mismatch in hair supply and demand

Minimizing the visibility of scalp scars including the scars of previous hair transplants

Enhancing the appearance of scalp hair in women with female patterned hair loss

SMP can be designed to match a completely shaved head or short hair depending on the patients styling needs. Like any cosmetic medical procedure the results are only as good as the operator and his/her artistic skills.

SMP an Alternative to Topical Hair Products

One of the great applications of SMP is in the patients who used microfibers such as Toppik on a regular basis to minimize the visibility of the scalp through their thinning hair. SMP eliminates the need to use microfibers. Microfiber or other topical products can be messy and be transferred onto clothing, sheets or pillow.

What conditions could benefit from SMP

SMP can be used to help in various hair loss conditions such as:

Genetic androgenic alopecia (AGA) otherwise known as male pattern balding (MPB) in men and women

Alopecia Areata or its more severe type Alopecia Totalis or Alopecia Univrsalis.

SMP Costs

The cost of the Scalp Micro Pigmentation has to do with the size and location of the area that requires treatment. The SMP Cost will be discussed with the patient after the initial evaluation by Dr.Feroz Khan at Darling Roots / Cosmetic Outlook Clinic.

Benefits of Hair Replacement Surgery

Transplanted hair is permanent

Restores a natural, more youthful and vigorous look, with potentially positive psychological effects, such as a boost in confidence.

Less expensive than other hair-loss treatments, when factored over time.

Complementary Procedures
Medical treatment options for hair loss are available. Call for a consultation with Dr.Feroz Khan to learn more about which options may be recommend in your case.

Recovery after Hair Transplants
Following hair replacement, you can expect a few days of swelling and soreness which is well controlled with oral pain medications. Swelling generally subsides by 5 days. Any sutures at the donor site are typically removed by day 7. You can resume most normal activities after a few days, except for intense exercise, which may be resumed at about 3 weeks. Most people are able to return to work within days, but may choose to return in a week. The donor site scar is concealed by the hair. Recipient sites are usually not noticeable after about a week.

Scarring alopecia’s from a variety of inflammatory diseases of the scalp (e.g. alopecia areata, alopecia totalis)

Hypo-pigmentation in the donor area after transplantation

Scalp Micro Pigmentation is usually not permanent and requires touch ups in future to keep its best shape and color. Some patients may need more than one procedure to obtain the optimum result.

FUE vs. Strip Hair Transplant Study

Description
Hair restoration surgery uses your own hair to improve the hairline or restore density to areas of thinning. Hair replacement surgery can enhance your appearance and your self-confidence. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. It’s important to understand that all hair replacement techniques use your existing hair. The goal of surgery is to find the most efficient uses for existing hair.

FUE or FUT hair transplant through strip technique – which one is for me?

Often we at Dr.Feroz Khan’s Darling Roots FUE Hair Restoration Clinic receive questions about the difference between the FUT strip and the FUE procedure. Some will make claims that one option is superior, while the other is inferior. Here at Dr.Feroz Khan;s Darling Roots we specialize in FUE procedure and are well known to be recognized as pioneers in performing FUE scientifically and artistically.

The FUE requires more tedious labor and the cost for performing FUE is usually more than a strip hair transplant.

FUE procedures require a highly skilled operator and create a technical challenge for less experienced technicians.

The majority of the patients which receive a hair transplant with the strip method are going to have a linear scar on their donor area. This scar can be minimized with certain surgical techniques such as the trichophytic closure, but it can never completely be eliminated. FUE hair transplant procedures offer unique advantages for differing patient circumstances. FUE Hair Transplant has been on the rise in the last decade thanks to the availability of more efficient techniques and higher qualities.

FUE Procedure

The scar visibility is completely non-existent with the FUE. It may leave some miniature spots because of a lack of hair in that particular area or de-pigmentation, like a small dot which is lighter when seen close up.

Hair can be kept short after the FUE Hair Transplant surgery in front and back. Any types of spots or de-pigmentation are not easily detectable.

There isminimal pain for most patients and they don’t need pain killers after their hair transplantation.

The surgeon can get donor hair from different parts of the body which the strip method has limited areas to take from. Areas such as the temples, beard and other body hair is included in this.

The surgeon can choose the specific type of grafts to harvest. When a special type of follicular unit is needed, this option is very good because the surgeon can choose the exact number of specific grafts to transplant. This is great for touch up work on the frontal hairline which needs single hair grafts, or for filling an isolated crown balding spot that does not require any singles.

The contrast between high hair density and bald areas can be decreased by the FUE. Restoring hair in a scar only needs hair added to the scar, and the FUE would help to minimize the contrast between the scar and the surrounding areas more easily.

FUE Hair Transplant – Today and Tomorrow

FUE Research Committee

International Society of Hair Restoration Surgery established a FUE Research Committee The new committee is solely focused on Follicular Unit Extraction (FUE) hair transplant procedures and the techniques that could be utilized to improve the quality of the FUE procedures. The FUE committee will examine the modern methods of FUE procedures and also conduct comparison studies with other current procedures and hair restoration techniques to achieve the goal.

There are NO risks involved in FUE procedure, if so will be very minimal and limited. It is the procedure of Gold standard in hair restoration industry. For the same reason:

FUE Transplant on the Rise

FUE Transplant Surgery has been transformed in the last few years with emergence of the new techniques of FUE transplantation. These include automated and robotic extraction devices. The goal of most these innovative techniques is focused on improving the quality of FUE hair transplantation while minimizing the invasiveness of the procedures. There are new studies that elucidate how FUE grafts should be handled for maximum survival and improved overall results. Dr.Feroz Khan is doing research on GRAFT SURVIVAL. The medium needed / solvent / preservative in which there will be minimal damage to the grafts after EXTRACTION. His studies include the composition of “A” CELL and HYPOTHERMASOL, these are preservatives used for ORGAN PRESERVATION.

Businessmen and Their Hair

We all know celebrities are well documented hair transplant clients, but what about those of us who aren’t famous a strong and healthy image, which is especially important when your position is to ensure the future of a successful company.

Facial Hair Transplants and Hipsters

It seems that facial hair transplants have become the latest phenomenon to population:

Hipsters: (Slang word) Hipsters are a subculture of men and women , usually young person typically in their 20’s and 30’s that value independent thinking, counter-culture, progressive politics who is trendy, stylish, or progressive in an unconventional way.

Dr.Feroz Khan says his clients include men who have struggled since adolescence to grow a beard, those undergoing a gender transition from female to male, men with facial scarring.

Hair Loss Linked to Mortality from Heart Disease

JAMA Dermatology revealed an important connection between hair loss and cardiovascular disease and the risk of death in patients with heart disease.

FUE Hair Transplant Cost

Please come to our clinic for a consultation with Dr.Feroz Khan today and experience a new standard in hair restoration. We at Darling Roots don’t accept anything but the best quality of services, techniques as we are very much result oriented.

Hair transplantation cost has to do with the techniques used in different clinics. Many hair transplant clinics still have not started using magnification equipment for harvesting grafts. Some hair transplant clinics still use old and outdated procedures (big or pluggy transplants that usually leave the patient with a patchy spotted pattern) instead of FUE (Follicular unit Extraction), which is the gold standard in hair restoration industry FOR WHICH WE ARE CONSIDERD PIONEERS.

Our Standard fee for FUE hair transplant is Rs:40/Follicular graft (Each follicle may contain 1-4 hair and in exceptional cases more upto seven) This rate will drop to Rs:35/Follicular graft for any grafts after 2000/Follicles- In large cases above 4000 Follicular grafts there are SPECIAL PACKAGES of Rs: 100 thousand and 200 thousand.

Procedures have a minimum fee of Rs: 50,000. Call our offices for FUE rates. The pricing for scar revision depends on the location and the size of the scars, which will be discussed at the time of consultation.

We may have occasional or seasonal discounts that you can contact Dr.Feroz Khan’s Darling Roots Clinic of FUE Hair Restoration for more information.

Dr.Feroz Khan’s Darling Roots FUE Hair Restoration Clinic always strives to make hair restoration procedure as affordable as possible so everyone can use our quality and life changing procedures.

* Stand-by rates are only offered to eligible hair loss clients who are flexible on scheduling their procedure date. To determine your eligibility for this discount you must attend a consultation at your earliest convenience and reserve your slot.

Financing For Hair Restoration Procedures.

Yes, we have alliance with the banks.

Travel Expense Reimbursement

For your convenience, if you are traveling 100 miles or more to our office for your FUE hair transplant surgery at Dr.Feroz Khan’s Darling Roots Hair Restoration Clinic, we offer the option to use 5% of your procedure costs (up to Rs: 3000) toward travel expense reimbursement and hotel / Guest house fees (hotel / Guest house can be preselected and booked by Darling Roots on patient request)

Our Clinic is an ultra modern facility, with sophisticated equipment run by efficient team of highly qualified and skilled Hair transplantation staff, providing state of the art Hair transplant surgery

Contact Us

Our Clinic is located in the heart of Hyderabad in Banjara Hills 8-2-682 May Fair Gardens, Suite # 504, Hyderabad 500034, Telangana, India.